Height Growth: The Role of Genetics vs. Digestive Health - Gastroenterology and Hepatology

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How tall will you grow? Digestion and absorption vs. genetic inheritance?


Hello Dr.
Chen: I have a question that has been bothering me for a long time: I am currently 20 years old, 168 cm tall, and weigh 54 kg.
(I previously had tests done, and my body fat percentage is low, with a basal metabolic rate of 1367 kcal, 5718 kJ.
There is still some space left in my growth plates.) I haven't grown much taller in high school (only about one or two centimeters).
Is there still a chance for me to grow taller? I have noticed that my "digestion and absorption" seems to be poor, making it difficult for me to gain weight, and I have never gained weight.
Could this be the reason why my nutrition is not easily absorbed? Or is genetics a significant factor in height growth? Would exercising more help? Are volleyball, basketball, and swimming particularly beneficial for increasing height? Another question: Why do my hands and feet get cold easily in winter? What methods can improve this? P.S.
I am unsure if my questions are appropriate for a gastroenterologist, or if you would recommend consulting another specialty? Thank you, doctor, for clarifying my doubts.

xiang zhang dao 170 cm yi shang, 20~29 year old female. Ask Date: 2009/07/10

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir: A height of 168 cm should be fine.
As long as your weight does not continue to decrease, it is likely not an "absorption" issue (which could include problems such as diarrhea or weight loss).
You may want to consult a nutritionist.
(Please keep a food diary for the upcoming week).
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2009/07/10

More Info


Your question touches on several important aspects of growth, including genetics, nutrition, and overall health. At 20 years old and with a height of 168 cm, you are approaching the age where most individuals have completed their growth spurts. The growth plates in long bones typically close after puberty, which means that significant height increases are unlikely after this point. However, let's break down the factors that could still play a role in your situation.


Genetics vs. Nutrition
1. Genetics: Genetics is a major determinant of height. If your parents are of average height, it is likely that you will also fall within a similar range. However, there are exceptions where individuals surpass their parents' heights due to various factors, including nutrition and health during childhood and adolescence.

2. Nutrition: Nutrition plays a crucial role in growth, especially during the formative years. If you have a low body fat percentage and a low basal metabolic rate (BMR), it may indicate that your body is not receiving enough calories or nutrients to support optimal growth. Poor digestion and absorption can further exacerbate this issue. If your body is not effectively absorbing nutrients, it may impact your overall health and growth potential.


Digestive Health
Your concern about digestive health is valid. If you suspect that your digestive system is not functioning optimally, it could hinder your ability to absorb essential nutrients necessary for growth. Conditions such as malabsorption syndromes or gastrointestinal disorders can lead to inadequate nutrient uptake, which may affect your growth potential. Consulting a gastroenterologist would be appropriate to evaluate your digestive health and determine if there are underlying issues affecting your nutrient absorption.


Exercise and Growth
Engaging in regular physical activity is beneficial for overall health and can positively influence growth during the growth phase. Sports like volleyball, basketball, and swimming can promote good posture, strengthen muscles, and improve overall fitness. While these activities may not directly increase height, they can enhance your body’s overall appearance and health.


Cold Extremities
Regarding your question about cold hands and feet during winter, this could be due to several factors, including poor circulation, low body fat, or even anxiety. Ensuring that you are adequately warm and considering lifestyle changes such as regular exercise can help improve circulation. If this issue persists, it may be worth discussing with a healthcare provider to rule out any underlying conditions.


Conclusion
In summary, while your height may not increase significantly at this stage due to the closure of growth plates, focusing on your overall health, nutrition, and digestive function is essential. If you have concerns about your digestive health, consulting a gastroenterologist would be a wise step. Additionally, maintaining an active lifestyle and ensuring you are consuming a balanced diet rich in essential nutrients can help you achieve your best health, regardless of height. Remember, height is just one aspect of who you are, and focusing on your overall well-being is equally important.

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